Whalio Doctors

NPI 1871200477

Dungarvin New Mexico, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Gallup, NM

Practice location

Address
513b Williams St, Gallup, NM 87301-4799
Phone
(505) 722-4383
Mailing address
1444 Northland Dr STE 200, Mendota Heights, MN 55120-1032

Authorised official

Name
Lori Kress
Title
Ceo
Phone
(651) 699-0206

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X

Registry record

NPI
1871200477
Entity type
Organization
NPI issued
2 Nov 2022
Record last updated
27 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.